Provider Demographics
NPI:1407037120
Name:WINDSONG WELLNESS INC
Entity Type:Organization
Organization Name:WINDSONG WELLNESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CA
Authorized Official - Prefix:
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:R
Authorized Official - Last Name:NANCE-BECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-530-0420
Mailing Address - Street 1:126 W HARVARD ST STE 1
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-5222
Mailing Address - Country:US
Mailing Address - Phone:970-530-0420
Mailing Address - Fax:970-223-2439
Practice Address - Street 1:126 W HARVARD ST STE 1
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-5222
Practice Address - Country:US
Practice Address - Phone:970-530-0420
Practice Address - Fax:970-223-2439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-21
Last Update Date:2007-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5170111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COV05905Medicare UPIN
CO802534Medicare PIN
CO802535Medicare PIN